Individual provider · Type 1 NPI

Mirko Omid Mostaghimi, DO

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1043905177 Active

Practice location

620 Shadow Ln
Las Vegas, NV 89106-4194

Call (702) 388-4000 Map

Mailing address

1300 N 12th St Ste 508
Phoenix, AZ 85006-2849

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043905177

Mirko Omid Mostaghimi, DO's National Provider Identifier is 1043905177, issued on Apr 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 3, 2025.